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June 25, 2016

Group Homes: Why Bigger is not Always Better

You’ve heard the phrase “Bigger is better” right? This has
not been the case when it comes to group homes for the disabled. Many states have established policies designed to downsize institutions and
training centers and serve people with community residential options. Group homes
still remain the most popular option when it comes to residential placement
outside of the family home. However, group home size is one area that has come
under increased scrutiny.

Many states are reducing the number of large group homes in
an effort to improve the overall quality of services. Homes that house more
than 10 residents will soon be a thing of the past. Fewer residents will of
course mean less revenue. Residential providers will be forced to make
adjustments to stay in business such as purchasing several small houses instead
of large houses. Staffing will also need to be adjusted to meet the needs of
fewer residents. There are some advantages to smaller group homes or group
homes that only have 2-4 residents.

1. More
person-centered services: Fewer residents allow more opportunities for
specialized activities. Staff can concentrate more on specific treatment plan
goals and devote more time to training and developing independent living
skills. The extra attention increases the likelihood of making progress and
actually completing treatment plan goals.

2. More community
integration: Community outings should be easier with fewer residents. Although
this often means fewer support staff, smaller groups should make it for staff
to provide support in the community and devote more attention to residents. Residents
should also have more opportunities to participate in activities they enjoy
rather than what’s more convenient for the group. More staff attention should also
lead to more safety in the community. Of course smaller groups are safer,
especially with residents who may tend to wander.

3. Creates a more
natural environment: Smaller group homes create a more natural, family-like
atmosphere. The goal of every group home should be to create an environment
that is comfortable and mimics a normal home. I think we can all agree that living
with 10 other non- related people is anything but natural.

4. Privacy: Smaller
group homes also provide more privacy. Fewer residents should allow each
resident to have their own room. I have known some facilities that have put
three to a room with a bunk bed and a regular bed. We used to call that
“warehousing” clients for additional profit.
I’m pretty sure some facilities are still doing this but it is not
acceptable in community-based residential programs.

5.
More interaction with support staff: Group homes with fewer residents often have
better resident/staff interaction. This also ties back to more person- centered
services in that there is more time to spend with residents in smaller groups
and more time for one to one conversation and training. Better communication and
more attention can often prevent problems before they escalate. Staff can recognize
anxiety or frustration and be more proactive in providing support.